SHANNON LEE MOORE


Address: 11102 Sunrise Blvd E, Ste #110, Puyallup, WA 98374-8846
Phone: 2536977350

SHANNON LEE MOORE (NPI# 1417395385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417395385
Entity Type Individual
Full Name SHANNON LEE MOORE
Other Name SHANNON LEE MURCHISON
Credential ARNP
Practice Address 11102 Sunrise Blvd E
Ste #110
Puyallup
WA 98374-8846
Practice Telephone 2536977350
Mailing Telephone 2536977350
Enumeration Date 2013-06-12
Last Update Date 2013-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner AP60386228 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
AP60386228 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
AP60386228 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers SHANNON MOORE

NPI Name Taxonomy Address Enumeration
1043825565 Shannon Roberta Moore In Home Supportive Care 5686 Broadview Rd Apt 2520, Parma, OH 44134-1647 2020-09-11
1033764055 Shannon Moore Physical Therapist 235 Open Sky Way, Kila, MT 59920-7700 2019-08-06
1770006660 Shannon Moore Optometrist 340 Wood Rd Ste 2020, Braintree, MA 02184-2404 2017-07-21
1316327851 Shannon Moore Technician, Other 24837 Princeton St, Dearborn, MI 48124-4457 2015-05-30
1659713071 Shannon Lori Moore Dietitian, Registered 1114 Thomasville Rd Ste G, Tallahassee, FL 32303-6273 2013-07-26
1326388893 Shannon Michelle Moore Developmental Therapist 340 Ralley Rd, Keavy, KY 40737-2729 2013-02-21
1639414345 Shannon L Moore Licensed Practical Nurse 1235 3rd Street, Sedro-woolley, WA 98284 2012-12-06
1669767208 Shannon M Moore Pharmacist 80 Baker St, Richmond, VT 05477-7750 2011-06-11
1154636611 Shannon Monique Moore Psychologist 1675 Lakeland Dr Ste 304, Jackson, MS 39216 2010-08-09
1689630246 Shannon Jessica Moore Optometrist 528 Waterloo Rd, Warrenton, VA 20186-3011 2006-04-24

Office Location

Street Address 11102 SUNRISE BLVD E
STE #110
City PUYALLUP
State WA
Zip Code 98374-8846

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285612879 Ted Coleman Emergency Medicine 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374 2006-01-04
1669906376 James Luzzo Nurse Practitioner 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 2017-04-19
1558716043 Emily Winn Nurse Practitioner 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 2016-05-03
1033587944 Rn Sunrise Operations LLC Dietitian, Registered 11102 Sunrise Blvd E, Suite 102, Puyallup, WA 98374-8846 2015-09-09
1801293949 Devyn Catherine Cameron Nurse Practitioner 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 2014-12-03
1003218611 Scott Nelson Physician Assistant 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 2014-09-25
1548685902 Robert Rex Williams Physician Assistant 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 2014-02-21
1477982700 Melissa Bronoske Physician Assistant 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 2013-11-07
1902113038 Teresa Irene Garrison Nurse Practitioner 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 2010-09-10
1710219621 James H.n. Mcpherson Physician Assistant 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374 2010-02-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073173977 Courtney Yant Registered Nurse 300 3rd St Se, Puyallup, WA 98374 2019-06-13
1013480508 Tracy Pina Massage Therapist 16909 123rd Ave E, Puyallup, WA 98374 2019-01-07
1922524917 Edith M Wood Registered Nurse 13517 152nd St Ct E, Puyallup, WA 98374 2017-08-21
1669875993 Jillian C S Longway Registered Nurse 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 2014-10-01
1427302025 Nadeem Jaffer Internal Medicine 3800 3rd St. Se, Puyallup, WA 98374 2012-11-04
1851605356 Madigan Army Medical Ctr Clinic/Center 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 2010-07-27
1326368135 Matt Karl Jahns Massage Therapist 2402 20th St Se, Puyallup, WA 98374 2010-06-03
1982833208 Roxy Sturgeon Speech-Language Pathologist 2309 43rd Ave Se, Puyallup, WA 98374 2009-07-08
1497921191 Morgan Counseling Services Inc. Substance Abuse Rehabilitation Facility 10312 120th Street East, Suite #3, Puyallup, WA 98374 2008-05-02
1700055795 Walter Royal Patterson Jr. Registered Nurse 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 2008-02-25
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578649679 Cydne J Marckmann Nurse Practitioner 3908 10th St Se, Puyallup, WA 98374-2188 2006-10-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871190835 Women's Mobile Medical. LLC Nurse Practitioner 701 E 49th St, Tacoma, WA 98404-2025 2020-10-02
1992323018 Megan Louise Bedker Nurse Practitioner 3003 80th Ave Se, Mercer Island, WA 98040-2915 2020-07-07
1114557196 Scarlett Owen Duncan Nurse Practitioner 27121 174th Pl Se Ste 201, Covington, WA 98042-4939 2020-01-18
1346889250 Kaylee Meilahn Nurse Practitioner 219 State Ave. N, Suite 220, Kent, WA 98030 2019-12-26
1508403858 New U Women's Clinic & Aesthetics Pllc Nurse Practitioner 35 S Louisiana St, Suite A120, Kennewick, WA 99336 2019-12-05
1174008106 Nicole Ann Bazzetta Nurse Practitioner 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 2018-09-25
1174000178 Emily K Ernst Nurse Practitioner 4525 S 19th St, Tacoma, WA 98405-1106 2018-07-23
1770079493 Erica Lauren Nunez Nurse Practitioner 5020 Roosevelt Way Ne Ste 1, Seattle, WA 98105-3644 2018-07-05
1659881001 Kathryn Conkling Nurse Practitioner 10210 State Ave, Marysville, WA 98271-7214 2017-10-11
1033575113 Amanda Jane Holen Nurse Practitioner 202 State Avenue North, Kent, WA 98031 2016-01-05
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Competitor

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City PUYALLUP
Zip Code 98374

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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